Trusted Exchange Framework and Common Agreement (TEFCA)
Trusted Exchange Framework and Common Agreement (TEFCA) outline a set of principles, terms and conditions to facilitate the development of health information exchange network across the nation. The process engages Government, private and public entities to develop a common agreement to allow healthcare stakeholders to exchange information across health information networks (HIN).
The Trusted Exchange Framework (TEF) Draft 1
The first draft of TEF was published by the ONC (Office of the National Coordinator for Health Information Technology) in January 5, 2018. It provides a framework and vision for how qualified health information networks (QHIN) and the recognized coordinating entity (RCE) function. The framework focused on:
- Empowering individuals to use their Electronic Health Information to the fullest extent;
- Enabling providers and communities to deliver smarter, safer, and more efficient care; and
- Promotes innovation at all levels.
TEFCA establishes QHIN to standardize HIE inter-connectivity. Each health information network has to enter into agreements with TEFCA which facilitates the standardized methodology to share information. Once they have made these agreements they are able to become a qualified health information network (QHIN).
A recognized coordination entity is established to act as the governing body of multiple QHINs. Of note, on September 3, 2019 ONC awarded The Sequoia Project a cooperative agreement to serve as the RCE.
The Trusted Exchange Framework (TEF) Draft 2
Draft 2 was published in April 19, 2019.
the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009. This
The Minimum Required Terms and Conditions (MRTCs) Draft 2
The QHIN Technical Framework (QTF) Draft 1
Recognized Coordinating Entity (RCE)
Submitted by Erick Christensen